Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Marion Merick Lyles-Lewis

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1619674678

Marion Merick Lyles-Lewis is a Nurse Practitioner in Clarksville, Tennessee. Qualified in 2022, 4 years ago. Practices with Mental Health Cooperative, Inc, a 48-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Tennessee.

Years since qualifying
4
Licensed in
TN
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

634 Hidden Valley Dr
Clarksville, TN 37040-5247
Phone: (612) 323-6045
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 2022141217 (TN)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 201103 (TN)

Record details

NPI number1619674678
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 10, 2023
Last updated in NPPESFebruary 10, 2023
Certification dateFebruary 9, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Mental Health Cooperative, Inc — 48 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Clarksville